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Prikaz primera pacienta s sočasnim akutnim miokardnim infarktom in okluzijo leve zunanje iliakalne arterije = Patient presenting with concomitant acute myocardial infarction and left external iliac artery occlusion - a case reportGrmec, Štefek ...62-letni gospod je v ambulanti splošne nujne medicinske pomoči (SNMP) poiskal pomoč zaradi nekaj ur trajajoče nenadne, vendar hujše bolečine v levi spodnji okončini. Leva noga je postajala bleda in ... hladna. Nekaj ur pred tem je trpel za bolečino v prsih v smislu stenokardije, a ta bolečina je do prihoda v ANMP že minila. V fizikalnem statusu je bil ugotovljen zastoj nad pljuči ter bleda in boleča leva spodnja okončina brez tipnih pulzov. Hitri troponinski test je pokazal zvišane vrednosti. Pri gospodu je bila takoj opravljena invazivna srčna diagnostika, vstavljen stent v LCX koronarno arterijo, ter čez nekaj ur, tj. naslednje jutro, še trombendarterektomija leve skupne iliakalne arterije. Okrevanje je bilo brez posebnosti. Ateroskleroza se kot generaliziran proces lahko prezentira na različnih anatomskih lokacijah oz. z različnimi kliničnimi stanji/zapleti (v našem primeru NSTEMI in akutno ishemijo leve spodnje okončine). Obratno je mogoče iz kliničnih najdb ateroskleroze v enem žilnem povirju sklepati, da je ateroskleroza prisotna/napredovala globalno in s tem sumiti na možne hujše zaplete. Zaključujemo z ugotovitvijo, da sta izčrpna anamneza in celoten telesni pregled izrednega pomena pri vseh bolnikih, predvsem pri tistih s srčno-žilno simptomatiko. Anamneza o težavah in fizikalni pregled perifernega ožilja (preprosto tipanje pulzov, primerjava pritiskov) bi lahko služil kot grob pokazatelj globalne napredovalosti ateroskleroze in posredno tudi centralnih, fizikalnemu pregledu težje dostopnih arterij (predvsem koronarnih) - in s tem tveganja za AKS oz. akutno ishemijo vitalnih organov.Source: Urgentna medicina : izbrana poglavja 2007 : zbornik = Emergency medicine : selected topics : proceedings (Str. 284-287)Type of material - conference contribution ; adult, seriousPublish date - 2007Language - slovenianCOBISS.SI-ID - 2693695
Author
Grmec, Štefek |
Prosen, Gregor, 1979- |
Mrđja, Božidar |
Balevski, Igor
Topics
Atherosclerosis |
Ateroskleroza |
Emergencies |
Urgentna stanja |
Myocardial Infarction |
Miokardni infarkt |
Iliac Artery |
Iliakalna arterija |
Ischemia |
Ishemija
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Year | Impact factor | Edition | Category | Classification | ||||
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
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DRS, in which the journal is indexed
Database name | Field | Year |
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Links to authors' personal bibliographies | Links to information on researchers in the SICRIS system |
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Grmec, Štefek | 26218 |
Prosen, Gregor, 1979- | 37131 |
Mrđja, Božidar | 15748 |
Balevski, Igor | 37204 |
Source: Personal bibliographies
and: SICRIS
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